| NPI | 1265834782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRE SHELTON Operations Administrator 907-748-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 10024226) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2018-05-07 |